S-950 Cervicothoracic MVA Regional Interdependence

Current evidence is rapidly evolving for the orthopedic manual care of the patient with recent or remote history of Motor Vehicle accident trauma. Do you know where to begin? When presented with a case like this, how do you know if it is safe to examine or perform joint mobilization/manipulation techniques? Are their headache or pain complaints cervicogenic, TMD, vestibular or concussion related? What common differential diagnoses do you need to assess? Do you need to provide vestibular therapy along with your manual therapy techniques?

What is the best sequence of evaluation and treatment for this patient population? What are the expected outcomes for a given patient and who might be a candidate for cervical facet injections? How could you assess and treat the cervicothoracic region as a movement system with respect to functional tasks?

Current medical practice dictates that we are efficient and effective medical providers, whether we encounter this patient as an acute triage in an Emergency room PT practice or a direct access visit. This patient population provides a breadth of possible biopsychosocial dysfunction that you need to be able to accurately assess and treat or make the appropriate referrals out to other medical providers. Often, a seemingly minor MVA or trauma can result in complex functional dysfunctions. This course content would also be applicable to other upper quarter neuro-orthopedic traumatic injury out- patient care.